Individual
DR. GRETCHEN LYNN KONRARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
139 W MAPLE ST, LANCASTER, WI 53813-1640
(608) 723-4737
(608) 723-4735
Mailing address
139 W MAPLE ST, LANCASTER, WI 53813-1640
(608) 723-4737
(608) 723-4735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.295474
IL
183500000X
Pharmacist
16623-40
WI
183500000X
Pharmacist
Primary
19813
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014530
—
IA
Enumeration date
03/02/2007
Last updated
05/29/2020
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